Sinus Bradycardia
The heart rate less than 60 in adults and less than 100,80 and 70 in infants, toddlers and school going children respectively is termed as sinus bradycardia. It can be a normal phenomenon or may be due to some pathological causes. Sinus bradycardia management and causes have been spotlighted in this passage.
Causes
- A normal phenomenon
- Myocardial infarction
- Sinus node disease
- Hypothermia
- Raised intracranial pressure
- Hypothyroidism
- Cholestatic jaundice
- Drugs induced (beta blockers, digoxin, verapamil)
Sinus Bradycardia Management
In the asymptomatic patients there is no need of any kind of treatment whilst in symptomatic patients, intravenous atropine (0.6-1.2 mg) is given. Moreover, in recurrent or persistent bradycardia pacemaker implantation should be considered.
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